Fish bone perforation of the terminal ileum presenting as acute appendicitis.

We report a case of a bowel perforation due to a fish bone that presented as an acute abdomen. This patient's gastrointestinal perforation was treated with laparoscopic and open technique. Diagnosis can be difficult as foreign body bowel perforation can mimic other causes of acute abdomen.

A technique for wound closure that minimizes sepsis after stoma closure.

Background: The aim of the present study was to assess the incidence of wound sepsis following closure of ileostomies and colostomies in our institution.

Methods: Circumferential subcuticular wound approximation was used in 51 patients in our institution. Evidence of wound sepsis (assessed by the presence of cellulitis, induration and or purulent discharge) was documented both in the postoperative period and in outpatient follow-up.